HealthcarePapers 3(3) January 2003 : 54-57.doi:10.12927/hcpap..17142
This thoughtful essay conveys a logically ordered series of concepts that may help develop a process to more fully integra te evidence into healthcare management decisions. In responding to this article we have tried to think bro adly about what might be discovered if t he ideas of Browman, Snider and Ellis were put into practice. We have chosen to focus on factors that could confound the five-point plan suggested by the authors. Browman, Snider and Ellis provide an interesting overview and advocacy for evidence - based medicine and its application. The authors recognize that the area under investigation, oncology, may lend itself more readily than others to the facilitation of evidence - based practice. They introduce the concept of healthcare as a negotiating environment and the healthcare manager as a potential catalyst for change. In their conclusions the authors offer healthcare managers a five-point plan:
- Express the value that knowledge is a core resource.
- Structure decision-making to involve the stewards of knowledge and stimulate negotiation while encouraging the parties to express shared goals.
- Invest in strategies that support knowledge management, including arbitration.
- Demonstrate leadership and develop organizational metaphors to encourage participation.
- Share the results and experiences of evidence-based decision-making.
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